The present specification relates generally to medical devices, and more particularly to post-operative care and therapeutic medical devices.
There are many types of post-operative orthotic devices from which doctors and patients may choose. Likewise, there are many types of pain management devices available to aid recovery after surgery. All devices have particular features and drawbacks. Improved devices are always needed, to enable or limit movement in certain directions, to control temperature at a surgical site, to apply or remove pressure on a body part, to rotate, abduct, or adduct a limb, to support or add weight, to stabilize joints, and for various other.
In an embodiment, a hip brace kit includes a first assembly for retention against a limb, which has a first base and a first arm terminating at first rings. A second assembly includes a second base and a second arm terminating at a second ring. A third assembly includes a third base and a third arm terminating at a third ring. A pivot assembly includes an upper cup and a lower cup defining a pivot housing. In a first arrangement, the first and second assemblies are mounted in the pivot assembly to enable unrestricted pivotal movement with respect to each other and to disable adduction and abduction with respect to each other. In a second arrangement, the first and third assemblies are mounted in the pivot assembly to disable unrestricted pivotal movement with respect to each other and to enable adduction and abduction with respect to each other.
In an embodiment, a hip brace kit includes a first assembly for bracing against a leg, which includes a base and an arm terminating at a pivot connection defined by concentric rings. A second assembly is for bracing against the leg and includes a base and an arm terminating at a pivot connection defined by a ring. A third assembly is for bracing against the leg and includes a base and an arm terminating at a pivot connection defined by a ring. The hip brace kit has a first arrangement in which the first and second assemblies are mounted in a pivot assembly to enable unrestricted pivotal movement and to disable adduction and abduction. The hip brace kit has a second arrangement in which the first and third assemblies are mounted in the pivot assembly to disable unrestricted pivotal movement and to enable adduction and abduction.
The above provides the reader with a very brief summary of some embodiments described below. Simplifications and omissions are made, and the summary is not intended to limit or define in any way the disclosure. Rather, this brief summary merely introduces the reader to some aspects of some embodiments in preparation for the detailed description that follows.
Referring to the drawings:
Reference now is made to the drawings, in which the same reference characters are used throughout the different figures to designate the same elements. Briefly, the embodiments presented herein are preferred exemplary embodiments and are not intended to limit the scope, applicability, or configuration of all possible embodiments, but rather to provide an enabling description for all possible embodiments within the scope and spirit of the specification. Description of these preferred embodiments is generally made with the use of verbs such as “is” and “are” rather than “may,” “could,” “includes,” “comprises,” and the like, because the description is made with reference to the drawings presented. One having ordinary skill in the art will understand that changes may be made in the structure, arrangement, number, and function of elements and features without departing from the scope and spirit of the specification. Further, the description may omit certain information which is readily known to one having ordinary skill in the art to prevent crowding the description with detail which is not necessary for enablement. Indeed, the diction used herein is meant to be readable and informational rather than to delineate and limit the specification; therefore, the scope and spirit of the specification should not be limited by the following description and its language choices.
Reference now is made to the drawings, in which the same reference characters are used throughout the different figures to designate the same elements.
The pivot assembly 13 enables a free, unrestricted range of motion of the upper and lower assemblies 11 and 12 in a single plane, but disables adduction and abduction of the upper and lower assemblies out of that plane. However, portions of the kit 10 are replaceable to achieve different functionality. When the kit 10 is modified, the upper and lower assemblies 11 and 12 can be adjustably limited in pivotal movement to disable unrestricted pivotal movement of the first and second assemblies 11 and 12 and thus restrict flexion and extension of the patient's hip beyond desired angles, and can be adjustably set to enable adduction or abduction of the first and second assemblies 11 and 12 and thus provide a desired adduction or abduction of the leg with respect to the hip. In this way, the kit 10 provides an orthotic with multiple configurable arrangements that can be modified to fit a patient's particular post-operative recovery needs.
The upper assembly 11 includes a base 20, an arm 21 extending downward from the base 20 and terminating at upper and lower rings 22 and 23 opposite the base 20 and carried within the pivot assembly 13, and spacers 24 and 25 also within that pivot assembly 13. The base 20 is a thin, wide, rigid base for application and retention against the lateral portion of a patient's hip. The base 20 has a central buckle 26 with a top button 27. The arm 21 slides into and engages with the buckle 26 to be releasably secured in the base 20. Opposed wings 30 extend laterally outward from the buckle 26 and are curved slightly to correspond to a patient's hip. Slots formed through the distal ends of the wings 30 receive a belt or other structure to secure the kit 10 about a patient's hip. In other embodiments, the underside of the base 20 carries a hook-and-loop engagement element for securing to a complemental hook-and-loop engagement element on a belt or soft pad wrapped around the patient.
The arm 21 extends between the pivot assembly 13 and the base 20 to set the desired offset location of the pivot assembly 13 with respect to the base 20. The arm 21 is thin, elongate, and rigid. It includes an upper end 31 and an opposed lower end 32. As shown in the section view of
The lower end 32 of the arm 21 transitions into and terminates at the upper and lower rings 22 and 23. Referring primarily to
The lower assembly 12 is best shown in
The arm 51 extends between the pivot assembly 13 and the base 50 to set the desired offset location of the base 50 with respect to the pivot assembly 13. The arm 51 is thin, elongate, and rigid. It includes an upper end 56 and an opposed lower end 57. As shown in the section view of
A secondary base 63 is located between the upper and lower ends 56 and 57 of the arm 51. The secondary base 63 has a central buckle 64, laterally-extending wings 65, and a depressible button 66 mounted in the buckle 64. The base 63 is mounted over the arm 51 for sliding movement, and a tooth in the button 66 engages with the slots 60 in the arm 51. The base 63 acts as a thigh bolster, providing additional leverage during abduction. Preferably, the underside of the base 63 carries a hook-and-loop engagement element for securing to a complemental hook-and-loop engagement element.
Referring primarily to
Behind the cylindrical slot 70 is a socket 75, and a small worm screw 76 is carried within the socket 75. The worm screw 76 has a perimeter formed with outwardly-directed threads. Those threads are complemental to the teeth on the knuckle 73. The worm screw 76 is mounted on an adjustment knob 77, which extends out of a hole in the upper end 56 of the arm 51 where it can be accessed. Rotating the knob 77 in one direction or another imparts rotational movement to the worm screw 76, whose threads engage with the teeth on the knuckle 73 and thereby pitch the knuckle 73 up or down. Because the ring 52 is rigidly connected to the knuckle 73 by the arm 72, pitching movement of the knuckle imparts pitching movement to the ring 52. The ring 52 is applied to the pivot assembly 13, and so pitching movement of the ring 52 causes the lower assembly 12 to move into and out of the plane of the pivot assembly 13. Thus, the adjustment assembly 71 can be adjusted to set a desired angle of the lower assembly 12 with respect to the pivot assembly 13, thereby defining a desired degree of hip abduction or adduction.
The ring 52 cooperates with the rings 22 and 23, and the spacers 24 and 25 to define part of the pivot assembly 13 of the kit 10. The ring 52 itself is a pinion ring: an annular ring with an inner diameter corresponding to the inner diameters of the rings 22 and 23, and with an outer circumference formed with outwardly-directed teeth 80.
The rings 22 and 23 pivot or move in rotational movement, within a pivot housing 81 of the pivot assembly 13. Referring primarily to
The lower cup 83 has an annular flat bottom 86 and a central neck 87 extending upward into the hollow space in the middle of the rings 22 and 23. The neck 87 of the lower cup 83 has an outer diameter corresponding to the inner diameter of the neck 85 of the upper cup 82, and the neck 87 of the lower cup 83 includes outwardly-directed threads complemental to those on the neck 85 of the upper cup 82. The upper and lower cups 82 and 83 thus threadably engage to each other to form the pivot housing 81. When so engaged, the pivot housing 81 defines an annular channel or hold 90 around the pivot housing 81 with a central axis Y. The upper and lower rings 22 and 23 are received in the hold 90, as is the pinion ring 52, with the spacers 24 and 25 disposed therebetween as bearing surfaces.
As shown in
The upper and lower rings 22 and 23, and the spacers 24 and 25, and the ring 25 are all mounted in the pivot housing 81. These elements are confined vertically by the upper and lower cups 82 and 83 and are prevented from lateral displacement by interaction with the neck 85 of the upper cup 82.
Within the pivot housing 81, the upper and lower rings 22 and 23 move independently of the ring 52 and of the spacers 24 and 25. As such, the upper and lower rings 22 and 23 rotate freely with respect to the ring 52, and so the upper and lower assemblies 11 and 12 coupled to the rings 22 and 23, and the ring 52, respectively, may pivot freely with respect to each other. This defines a first arrangement of the kit 10, which enables unrestricted pivotal movement of the upper and lower assemblies 11 and 12 with respect to each other, and about the central axis Y. Moreover, the worm screw 76 prevents movement of the ring 52, and thus disables adduction and abduction of the upper and lower assemblies 11 and 12 with respect to each other. Still further, because the upper assembly 11 includes the upper and lower rings 22 and 23 which are integral to the arm 21, the upper and lower rings 22 and 23 are disabled from movement with respect to the arm 21, and since the upper and lower rings 22 and 23 are carried within the pivot housing 81, the upper assembly 11 is disabled from adduction and abduction with respect to the pivot assembly 13.
The teeth 80 on the ring 52 of the lower assembly 12 do not limit pivotal movement of the kit 10. However, the kit 10 can be modified to achieve that different functionality.
This leaves the base 20 of the upper assembly 11 and the lower assembly 12, as shown in
The arm 91 extends between the pivot assembly 13 and the base 20 to set the desired offset location of the pivot assembly 13 with respect to the base 20. The arm 91 is thin, elongate, and rigid. It includes an upper end 96 and an opposed lower end 97. Several spaced-apart slots 100 are formed through the upper end 96 of the arm 91. The tooth 34 on the underside of the lower end of the button 27 projects inwardly through one of the slots 100 to hold the arm 91 with respect to the buckle 26. The upper end of the button 27 can be depressed to pivot the button 27 and lift the tooth 34, which disengages the arm 91 from the buckle 26; the arm 91 can then be moved upward or downward, as desired, within the buckle 26 to change the effective length of the arm 91 and thereby move the pivot assembly 13 with respect to the base 20. A flat spring 101 (shown only in
Referring now primarily to
The adjustment assembly 104 includes a knuckle 105 and a worm screw 106 engaged with each other. The knuckle 105 is mounted on a pin 107 carried in the slot 103. An arm 110 extends backward from the knuckle 105 and is secured to the underside of the lower end 97 of the arm 91, as shown in
The worm screw 106 is mounted on an adjustment knob 111, which extends out of a hole in the base 102 where it can be accessed. Rotating the knob 111 in one direction or another imparts rotational movement to the worm screw 106, whose threads engage with the teeth on the knuckle 105 and thereby pitch the knuckle 105 up or down. Because the arm 91 is rigidly connected to the knuckle 105, pitching movement of the knuckle 105 imparts pitching movement to the arm 91. The rings 92 and 93 are applied to the pivot assembly 13, and so pitching movement of the rings 92 and 93 causes the upper assembly 14 to move into and out of the plane of the pivot assembly 13, as indicated by the arrowed lines A in
The upper and lower set rings 94 and 95 are shown in
The set rings 94 and 95 are carried in the pivot housing 81 with the upper and lower rings 92 and 93 of the upper assembly 14. The upper and lower rings 92 and 93 are registered above and below, respectively, the set rings 94 and 95. The set rings 94 and 95 define a small and thin holding space between the upper and lower rings 96 and 97. The ring 52 of the lower assembly occupies this holding space; the set rings 94 and 95 are registered above and below, respectively, the ring 52. In this way, the teeth 116 of the set rings 94 and 95 are disposed to engage with the teeth 80 on the ring 52 to selectively adjust and index rotation of the upper and lower assemblies 14 and 12 with respect to each other.
Moving the caps 114 further away from the base 102 allows the patient to flex or extend his hip with a larger range of movement. The set rings 94 and 95 limit that range, however; they stop such flexion or extension movement when the lower assembly 12 pivots with respect to the upper assembly 14 to the extent that at least one of the caps 114, locked with respect to the pinion ring 52, rotates around and comes into contact with the base 102 of the upper assembly 14. The base 102 prevents further rotational movement of the cap 114 and thus prevents further pivoting of the lower assembly, thereby limiting flexion and extension.
A preferred embodiment is fully and clearly described above so as to enable one having skill in the art to understand, make, and use the same. Those skilled in the art will recognize that modifications may be made to the description above without departing from the spirit of the specification, and that some embodiments include only those elements and features described, or a subset thereof. To the extent that modifications do not depart from the spirit of the specification, they are intended to be included within the scope thereof.
What is claimed is:
This application claims the benefit of U.S. Provisional Application No. 63/073,441, filed Sep. 1, 2020, which is hereby incorporated by reference.
Number | Date | Country | |
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63073441 | Sep 2020 | US |